This study suggests that among patients undergoing major surgery who are positive for SARS-CoV-2 there is a high risk of mortality and morbidity. There is a significant influence of age on postoperative mortality with younger patients (<50 years) having a better outcome. Elderly patients (>70 years) with more than one co-morbidity undergoing major emergency procedures have the highest risk.
Although an abnormal preoperative chest X-ray has a higher likelihood of a worse postoperative outcome, mortality is higher even if the X-ray is normal.
Till evidence from further studies is available, major surgeries should be considered selectively in geographical regions passing through the peak of their COVID curve. This study also emphasizes the need and the value of routine preoperative COVID testing for better surgical decision making.
Article: COVIDSurg Collaborative. Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: An international cohort study.The Lancet. May 29, 2020.DOI: https://doi.org/10.1016/S0140-6736(20)31182-X.Management-Surgical-Mortality and pulmonary complications of surgery